<style type="text/css">
    .readonly_box {border: none};
</style>

<div class="fitem">
    <label>Name:</label>
    <input name="name" readonly="readonly" class="readonly_box" />
</div>
<div class="fitem">
    <label>E-Mail:</label>
    <input name="email" readonly="readonly" class="readonly_box" />
</div>
<div class="fitem">
    <label>Subject:</label>
    <input name="subject" readonly="readonly" class="readonly_box" />
</div>
<div class="fitem">
    <label style="vertical-align: top; margin-top: 10px;">Message:</label>
    <textarea id="msg" name="message" style="width: 70%; height: 100px; padding: 0;" readonly="readonly"></textarea>
</div>
<div class="fitem">
    <label>Status:</label>
    <input name="status" readonly="readonly" class="readonly_box" />
</div>

<script>

</script>

